Individual
ASHLEY MARITZA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10929 SOUTH ST STE 208B, CERRITOS, CA 90703-5368
(562) 924-5526
Mailing address
1325 WESTERN AVE, HOLLYWOOD, CA 90027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
CA
1041C0700X
Clinical Social Worker
Primary
91529
CA
Other
Enumeration date
10/09/2014
Last updated
09/11/2019
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